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Exercise Rejuvenates Quiescent Skeletal Muscle Stem Cells in Old Mice Through Restoration of Cyclin D1
Exercise Rejuvenates Quiescent Skeletal Muscle Stem Cells in Old Mice Through Restoration of Cyclin D1
https://doi.org/10.1038/s42255-020-0190-0
Ageing impairs tissue repair. This defect is pronounced in and myogenic differentiation factor (MyoD) expression (Extended
skeletal muscle, whose regeneration by muscle stem cells Data Fig. 1b–g). Voluntary wheel running also did not induce a
(MuSCs) is robust in young-adult animals, but inefficient in significant increase in the total number of MuSCs (Extended Data
older organisms. Despite this functional decline, old MuSCs Fig. 1h) and caused at most minor changes in muscle size or signs
are amenable to rejuvenation through strategies that improve of muscle damage, such as inflammation or fibre degeneration
the systemic milieu, such as heterochronic parabiosis. One (Extended Data Fig. 1i–n). Our results are consistent with previ-
such strategy, exercise, has long been appreciated for its ous observations that voluntary wheel running does not expand the
benefits on healthspan, but its effects on aged stem-cell func- MuSC pool in adult mice3. This is in contrast to resistance exer-
tion in the context of tissue regeneration are incompletely cise, which causes muscle hypertrophy and the activation of MuSCs
understood. Here, we show that exercise in the form of volun- and many other cell types in muscle5–8; to exercise in the postna-
tary wheel running accelerates muscle repair in old mice and tal development period, which can expand the MuSC pool3; and
improves old MuSC function. Through transcriptional profil- to forced-endurance exercise, which above a certain intensity level
ing and genetic studies, we discovered that the restoration of causes animal stress and muscle injury, and also activates MuSCs3,4.
old MuSC activation ability hinges on restoration of Cyclin D1, In a prior study of voluntary wheel running in adult mice, exercise
whose expression declines with age in MuSCs. Pharmacologic increased the expression of myogenic genes and Wnt signalling in
studies revealed that Cyclin D1 maintains MuSC activation muscle, but MuSC pool size, MuSC function and muscle repair abil-
capacity by repressing TGF-β signalling. Taken together, ity were not examined9. In summary, voluntary wheel running is a
these studies demonstrate that voluntary exercise is a prac- form of exercise that allows analysis of the MuSC populations that
ticable intervention for old MuSC rejuvenation. Furthermore, remain in a quiescent state.
this work highlights the distinct role of Cyclin D1 in stem-cell We first tested the effects of exercise on muscle regeneration,
quiescence. the primary function of adult MuSCs. After three weeks of free
To study the effects of exercise on MuSC function and muscle or locked wheel access, we removed mice from exercise cages and
regeneration, we used an established model of exercise in rodents1,2: injured the tibialis anterior (TA) muscles with barium chloride.
we provided young-adult and old mice three weeks of access to After either 4–5 d or 28 d of recovery, we isolated the TA muscles
freely rotating running wheels (+Ex) or, as the control condition, and examined regeneration histologically (Fig. 1a,b and Extended
to locked wheels (–Ex) (Extended Data Fig. 1a). Within one week, Data Fig. 2a–d). Compared with that in young(–Ex) mice, forma-
young and old mice reached a stable exercise routine, running tion of new muscle was delayed in old (–Ex) mice, as has been
10 ± 2 (n = 39, mean ± s.d.) and 4.9 ± 2.7 (n = 91, mean ± s.d.) km well-established10. Exercise significantly accelerated the regenera-
per night, respectively. This short-term, non-strenuous, voluntary tion efficiency of muscle in old mice toward more youthful levels.
exercise regimen was selected to avoid confounding the study of Notably, exercise did not benefit young muscle repair, even when
stem-cell quiescence by the muscle injury and overt MuSC acti- examined at an earlier time point (Extended Data Fig. 2a).
vation known to occur during resistance training or more intense To examine the extent to which exercise rejuvenates old muscle
endurance exercise3–6. With voluntary wheel running, MuSCs repair through intrinsic changes in MuSCs, we performed trans-
exhibited at most minor changes from quiescence in any marker plantation assays, in which old MuSCs are known to exhibit severe
for cells in a proliferative or activated state, including thymidine defects11,12. Donor mice were tamoxifen-treated Pax7CreER;R26RYFP,
analog incorporation, total RNA content, cell size, Ki67 expression and thus expressed yellow fluorescent protein (YFP) specifically in
Department of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, CA, USA. 2Paul F. Glenn Laboratories for the
1
Biology of Aging, Stanford University School of Medicine, Stanford, CA, USA. 3Stem Cell Biology and Regenerative Medicine Graduate Program, Stanford
University School of Medicine, Stanford, CA, USA. 4Center for Tissue Regeneration, Repair, and Restoration, Veterans Affairs Palo Alto Healthcare
System, Palo Alto, CA, USA. 5Department of Biosciences, University of Oslo, Oslo, Norway. 6Department of Immunology, Institute of Biomedical Sciences,
University of São Paulo, São Paulo, Brazil. 7Neurosciences Interdepartmental Graduate Program, Stanford University School of Medicine, Stanford, CA,
USA. 8Neurology Service, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA. 9These authors contributed equally: Jamie O. Brett, Marina
Arjona, Mika Ikeda. ✉e-mail: rando@stanford.edu
a b
Young(–Ex) Young(+Ex) Old(–Ex) Old(+Ex) 0.3
*
(eMHC+/injured area)
Regeneration extent
*
eMHC Laminin DAPI
0.2
0.1
0.0
–Ex +Ex –Ex +Ex
Young Old
c d e
Young(–Ex) Old(–Ex) Old(+Ex) 1.8 400
Regeneration capacity
*
Regeneration rate
300
YFP Laminin DAPI
1.2
Y(–Ex)
0.9 200 Y(–Ex)
0.6
100
0.3
0.0 0
–Ex +Ex –Ex +Ex
Old Old
f 800
g 0.6 h 0.5
* *
*
600 *
(fraction EdU+ after 2 d)
Exit from quiescence
* 0.4
*
Clonogenicity
0.3
400
0.2
0.2
200
0.1
0 0.0 0.0
–Ex +Ex –Ex +Ex –Ex +Ex –Ex +Ex –Ex +Ex –Ex +Ex
Young Old Young Old Young Old
Fig. 1 | Exercise improves old-muscle repair and MuSC function. a, Three weeks after exercise or no exercise, mice were transferred to new cages without
wheels, and TA muscles were injured. After 4.5 d, muscles were isolated and stained to detect regeneration. Regenerating myofibers are marked by eMHC,
the basal lamina surrounding all myofibers is marked by laminin, and nuclei are stained with DAPI. b, The injured area occupied by eMHC+ myofibers was
quantified (n = 6 mice per group). c, Ten thousand freshly isolated YFP+ MuSCs from each donor mouse were transplanted into pre-injured TA muscles of
host NOD-SCID mice. Ten days after the transplant, muscles were stained to detect donor-derived (YFP+) myofibers. d, The mean cross-sectional areas
(CSA) of YFP+ myofibers were quantified and then normalized to the mean young(–Ex) (Y(–Ex)) level in each experiment (n = 9 for old(–Ex) (O(–Ex)),
9 for O(–Ex) and 6 for Y(–Ex) muscles). e, The numbers of YFP+ myofibers in recipient muscles were counted (n = 9 for O(–Ex), 9 for O(+Ex), and 6 for
Y(–Ex) muscles). f, FACS-isolated MuSCs were cultured, and enlargement was measured with a Coulter counter (n = 15 mice per group); fl, femtolitre.
g, MuSCs were cultured continuously in EdU to assess S-phase progression (n = 4 for Y(–Ex), 5 for Y(+Ex), 7 for O(–Ex) and 7 for O(+Ex) mice).
h, Single MuSCs were sorted during FACS isolation into individual wells to assess clonogenic capacity (n = 4 for Y(–Ex), 5 for Y(+Ex), 7 for O(–Ex) and 7
for O(+Ex) mice). Scale bars in a and c, 100 μm. Data are summarized with mean + s.e.m. *P < 0.05; two-tailed Welch’s t-test in b and d–h.
adult MuSCs13. We transplanted MuSCs from old(–Ex) or old(+Ex) culture using a battery of assays. One of the earliest processes of
mice, or those from young(–Ex) mice, into injured muscles of MuSC activation is enlargement in size, which we measured 18 h
young hosts. Ten days later, we examined host muscles for the pres- after collection using a Coulter counter. We found that old MuSCs
ence of YFP-labelled muscle fibres. Compared with young(–Ex)- had defects in enlargement compared with young MuSCs, and these
donor MuSCs, old(–Ex)-donor MuSCs formed smaller and fewer were restored by exercise (Fig. 1f). We also found that accrual of
fibres (Fig. 1c–e). Both parameters were significantly restored back total RNA, another measure of cell growth during the exit from qui-
to young levels by exercise. escence, was increased with exercise in old MuSCs (Extended Data
Old MuSCs harbour striking defects in activation compared Fig. 2f). Old MuSCs had a lower rate of entry into this first S-phase,
with young MuSCs14,15. Because exercise accelerated muscle repair, as measured by EdU incorporation, compared with young MuSCs,
we hypothesized that exercise would restore old MuSC activation. and this was rescued by exercise (Fig. 1g). Analysis of other aspects
To test this, we used fluorescence-activated cell sorting (FACS) to of activation, completion of the first division and gain in motility,
isolate MuSCs (Extended Data Fig. 2e) from young and old mice further demonstrated that exercise enhanced the rate at which old
without or with exercise and assayed their activation over time in MuSCs activate (Extended Data Fig. 2g,h). Analysis of MuSC death
–log10(q value)
10 0
0.2
ES
ES
–0.1 NES = –1.530 NES = 1.640
0.1 6
–0.2 q = 0.025 q = 0.068
Young(–Ex) –0.3 0.0
0
3
Old(–Ex) 2.0
2.0 1.0
S2N
S2N
–10 0 0 0
–15 0 15 30 –2.0 –1.0 –2 –1 0 1 2
PC1 (40% of variance) score O(–Ex) Y(–Ex) O(+Ex) O(–Ex) log2(Old(+Ex) / Old(–Ex))
Gapdh
(detectable transcripts)
Relative Ccnd1 mRNA
2.0
2.5
40 80 *
1.5 2.0
cyclin D1 protein
Relative
1.0 1.5
Y(–Ex)
20 40
1.0 Y(–Ex)
0.5
0.5
0 0 0 0.0
–Ex +Ex Young(–Ex) Old(–Ex) Old(+Ex) Injured –Ex +Ex
Old Old
Fig. 2 | Exercise partly restores the old MuSC transcriptome and enhances Cyclin D1 expression. a, PCA of RNA-seq profiles of MuSCs from young or
old mice that were exercised or were not exercised. Each profile (triangle) represents the MuSCs of an individual mouse. b, GSEA enrichment plots for the
E2F TARGETS gene set, representing cell-cycle genes. NES, normalized enrichment score. c, Volcano plot of transcripts in the RNA-seq profiles of MuSCs
from old non-exercised or old exercised mice. Ccnd1 is labelled as the transcript most strongly upregulated by exercise. d, RT–qPCR for Ccnd1 in MuSCs
from mice independent of those used in the RNA-seq experiment. Ct values were normalized first to the mean of Gapdh, Hprt and Actb1 and then to the
mean Y(–Ex) level in each experiment (n = 13 for O(–Ex), 14 for O(+Ex) and 13 for Y(–Ex) mice). e, Single-molecule RNA-FISH for Ccnd1 in freshly isolated
MuSCs. For comparison, also shown are results for Y(Activated) MuSCs isolated from mice 3 d after injury (n = 54 cells in each group, pooled from 3
Y(–Ex), 4 O(+Ex), 4 O(–Ex), and 3 Y(Activated) mice). f, Western blot analysis of Cyclin D1 in MuSCs. Each lane represents a pool of two to three mice.
Shown is a representative blot and quantification of two blots (n = 6 for O(–Ex), 6 for O(+Ex) and 5 for Y(–Ex) lanes). ES, running enrichment score; NES,
normalized enrichment score; S2N, GSEA Signal2Noise ranking metric in b. Data are summarized with mean and s.e.m. in d and f. For box-and-whisker
plots in e: bottom whisker, minimum; box bottom, 25th percentile; box middle, median; box top, 75th percentile; top whisker, maximum; +, mean.
*P < 0.05; two-tailed Welch’s t-test in d and e; two-tailed Mann–Whitney U-test in f.
histology and flow-cytometry analyses showed that short-term (6 To investigate the effects of Cyclin D1 upregulation in vivo on
weeks) or long-term (9 months) loss of Cyclin D1 in MuSCs did not old MuSC activation, we generated mice in which Cyclin D1 can
alter MuSC number or cause MuSCs to exit their sublaminar loca- be induced specifically in MuSCs. For this, we used Pax7rtTA mice
tion (Extended Data Fig. 6a,b). To evaluate MuSC activation rates crossed with mice transgenic for Ccnd1 controlled by the tetracy-
in vivo, we injured TA and gastrocnemius muscles, injected EdU cline-responsive element (TRE)31,32. We studied the wild-type form
intraperitoneally (i.p.) at 1.5 d after injury, and collected MuSCs of Cyclin D1 as well as a mutant form of Cyclin D1 (K112E) that
from these muscles for analysis of EdU incorporation at 2 d after cannot activate the Cdk4 and Cdk6 cyclin-dependent kinases33–35.
injury. Compared with young(WT) MuSCs, young(HET) MuSCs When mice were 20 months of age, we administered doxycycline to
and young(KO) MuSCs were impaired in S-phase entry during Pax7rtTA mice transgenic for wild-type Ccnd1 (TetD1-WT), trans-
activation (Fig. 3i). This impairment was rescued by exercise in genic for Ccnd1 encoding the K112E variant (TetD1-KE) or without
young(HET) MuSCs, but not in young(KO) MuSCs. Similar results a Cyclin D1 transgene (Tet-Ctrl). Western blot assays showed that
were obtained in ex vivo EdU-incorporation assays of activation Cyclin D1 was induced two-fold by doxycycline in MuSCs from mice
(Extended Data Fig. 6c). Thus, Cyclin D1 is crucial for MuSC acti- containing the transgene compared with mice lacking the transgene
vation ability, and exercise benefits MuSC activation through Cyclin (Fig. 3m). Analysis of activation by assaying ex vivo cell enlargement
D1 restoration. or EdU incorporation showed that increased expression of Cyclin D1
To examine the extent to which upregulation of Cyclin D1 would (including the mutant form that does not activate Cdk4 and Cdk6)
restore youthful properties to old MuSCs, we generated lentiviral in old MuSCs restored activation rate (Fig. 3n,o). Taken together,
vectors to increase expression of Cyclin D1 in MuSCs (Fig. 3j and these rescue experiments ex vivo and in vivo indicate that Cyclin D1
Extended Data Fig. 6e,f). Increased Cyclin D1 expression in old upregulation is sufficient to improve old MuSC activation.
MuSCs accelerated enlargement compared with that in old MuSCs Next, we investigated molecular roles of Cyclin D1 in quiescent
infected with a control lentivirus (Fig. 3k). We then tested the effects MuSCs and performed RNA-seq on young(WT), young(HET) and
of increased Cyclin D1 expression on MuSCs maintained in quies- young(KO) MuSCs, as well as old(WT) MuSCs for comparison.
cence ex vivo (Extended Data Fig. 6d). When the cells were then Loss of Cyclin D1 from quiescent young MuSCs resulted in broad
allowed to activate in the presence of EdU, increased Cyclin D1 led transcriptomic changes (Fig. 4a). At a 10% FDR, 633 genes were dif-
to an acceleration of the exit from quiescence of old but not young ferentially expressed between young(WT) and young(HET) MuSCs,
MuSCs (Fig. 3l). and 530 genes were differentially expressed between young(WT)
(detectable transcripts)
Cyclin D1
* *
D1 protein
1.0
100
* 1
0.2
0.5
DAPI
0 0 0 0
siRNA: Ctrl D1 Ctrl D1 Ctrl D1 siCtrl siD1 siCtrl siD1 siRNA: Ctrl D1 Ctrl D1 Ctrl D1
Y(–Ex) O(–Ex) O(+Ex) Y(–Ex) O(–Ex) O(+Ex)
f (–Ex) (+Ex) g h i
WT HET KO 5 * 0.4
1.0 WT(–Ex) 2
0.1
0.5 1
DAPI
0.0 0 0
–Ex +Ex –Ex +Ex WT HET KO –Ex +Ex –Ex +Ex
HET KO HET KO
j k n.s. l n.s.
m n 700 o
GFP-V5 700 0.8 Ctrl D1-WT 0.5
Tet:
* *
Cyclin D1 600
(median fl volume at 24 h)
*
(fraction EdU+ after 2 d)
600 0.4
Exit from quiescence
V5 DAPI
500
*
500 8.0 400 0.3
*
cyclin D1 protein
0.4
6.0
*
Cyclin D1-V5 400 300
0.2
Relative
4.0 200
0.2
V5 DAPI
300 0.1
2.0 100
200
0 0 0.0 0 0
lenti: lenti: Tet:
trl
1
trl
1
trl
1
trl
1
trl
Tet:
trl
Tet:
trl
T
KE
T
KE
T
D
D
D
C
C
C
C
W
C
W
W
1-
1-
1-
1-
1-
D
D
D
D
D
Old Old
Fig. 3 | Exercise improves MuSC activation through Cyclin D1. a, Freshly isolated MuSCs were transfected with non-targeting (Ctrl) or Ccnd1-targeting
(D1) siRNA pools. One day later, MuSCs were collected for western blot. Shown is a representative blot and quantification of three blots. Each lane
represents a pool of two to four mice split into the two siRNA conditions (n = 3 lanes per group). b, Ccnd1 single-molecule RNA-FISH on MuSCs
transfected as in a and fixed after 2 d (n = 127 cells in each group, pooled from 2 mice split into the two siRNA conditions). c,d, Cyclin D1
immunofluorescence on MuSCs transfected as in a and fixed after 2 d (n = 99 cells per group, pooled from 8 mice split into the two siRNA conditions)
(c), and quantification of expression (d). Nuclei were stained with DAPI. e, MuSCs transfected as in a were grown continuously in EdU (n = 3 for Y(–Ex),
4 for O(–Ex) and 3 for O(+Ex) mice). f, Western blot of MuSCs from WT, HET or KO mice, without or with exercise. Shown is a representative blot and
quantification of three blots. Each lane represents a pool of one to four mice (n = 5 for HET(–Ex), 7 for HET(+Ex), 3 for KO(–Ex), 3 for KO(+Ex) and
12 for WT(–Ex) lanes). g,h, Cyclin D1 immunofluorescence on MuSCs from WT, HET or KO mice fixed after 2 d (n = 99 cells per group, pooled from 6
WT, 3 HET and 2 KO mice). i, Lower hindlimb muscles were injured to activate MuSCs in vivo. After 1.5 d, mice received an i.p. injection of EdU. MuSCs
from these muscles were isolated 12 h later for EdU staining (n = 7 for HET(–Ex), 7 for HET(+Ex), 6 for KO(–Ex), 6 for KO(+Ex) and 11 for WT(–Ex) mice).
j, MuSCs from each mouse were split into the two infection conditions: GFP-V5 (Ctrl) lentiviruses and Ccnd1-V5 (D1) lentiviruses. While being infected,
MuSCs were held in tubastatin A (TubA) to maintain quiescence. After 3 d, MuSCs were fixed and stained for the V5 tag. Analysis of these images
showed infection rates of 47 ± 9% (n = 3, mean ± s.d.) for lentiCtrl and 54 ± 3% (n = 3, mean ± s.d.) for lentiD1 infections. k, MuSCs from each mouse
were infected with Ctrl or D1 lentiviruses immediately upon isolation, and enlargement was measured with a Coulter counter (n = 3 mice per group).
l, MuSCs infected as in j were activated in the presence of EdU for 2 d by removing TubA (n = 3 mice per group). m, Western blot of MuSCs from Tet-Ctrl
and TetD1-WT mice. Shown is a representative blot and quantification of two blots. Each lane represents MuSCs from one mouse (n = 4 lanes per group).
n,o, Exit from quiescence was measured by cell size (n) and S-phase entry (o) (n = 6 for Tet-Ctrl, 6 for TetD1-WT, and 4 for TetD1-KE hindlimbs). Scale
bars in c, g and j, 50 μm. Data are summarized with mean and s.e.m. in f, i and m–o. For box-and-whisker plots in b, d and h: bottom whisker, minimum;
box bottom, 25th percentile; box middle, median; box top, 75th percentile; top whisker, maximum; +, mean. n.s., not significant; *P < 0.05; one-tailed
ratio-paired t-test in a, one-tailed Welch’s t-test in b, d, h, i, n and o, one-tailed unpaired t-test in k, one-tailed paired t-test between groups connected by
dotted lines in e, one-tailed Welch’s t-test between O(–Ex)(siCtrl) and O(+Ex)(siD1) in e and between Y(lentiCtrl) and O(lentiCtrl) in l, one-tailed Mann–
Whitney U-test in f and m.
a b TGF-β signalling
c Hallmark TGF-β signalling
d e TRANSFAC
40 Smad3
PC2 (16% of variance) score
–2.0
ES
–0.2 NES = –1.841
ES
–0.2
Young(KO) –1.5 q = 0.001 q = 0.003
NES
0 –0.4 –1.0 –0.3
Old(WT) –0.4
–1.0
–20
Ccnd1 corr.
–0.5
Ccnd1 corr.
1.0 1.0
–0.5 0.5
0.5
Young(HET) 0 0
–40 0 –0.5 0.0 –0.5
–40 –20 0 20 40 Hallmark TRANSFAC
gene sets Positive Negative gene sets Positive Negative
PC1 (25% of variance) score
f Y O O g WT HET HET h
(–Ex) (–Ex) (+Ex) (–Ex) (–Ex) (+Ex)
p-Smad3 p-Smad3
150 *
Histone 3 Histone 3
Y(Veh)
*
Relative Smad3
Relative Smad3
2 2
50
1 1
WT(–Ex)
Y(–Ex)
0 0 0
–Ex +Ex –Ex +Ex Veh LY
Old HET Old
i 0.4 j k 0.4 l
0 0 0 0
Veh LY Veh LY Veh LY Veh LY
Old HET KO Old (ex vivo)
Fig. 4 | Cyclin D1 represses TGF-β signalling activity in quiescent MuSCs. a, PCA of RNA-seq profiles (triangles) of MuSCs from young WT, HET or KO
mice (with respect to Ccnd1), or old(WT) mice. Each profile represents the MuSCs of an individual mouse. b, GSEA was performed with the Hallmark gene
sets using the Ccnd1 correlation coefficients. Shown are the NES values for the negatively enriched sets. TGF-β signalling is labelled as the top negatively
correlated gene set. c, Enrichment plot for the TGF-β signalling gene set. d, GSEA using experimentally determined TFT gene sets in the TRANSFAC/
Harmonizome database. Smad3 is labelled as the transcription factor with the top negatively correlated TFT gene set. e, Enrichment plot for the Smad3
TFT gene set. f,g, Western blots on freshly isolated MuSCs to assess for activating C-terminal phosphorylation of Smad3. Each lane’s phospho-Smad3
level was normalized to Histone 3 and then to the grand mean of each blot; blots quantified in each figure contained equals numbers of each replicate type.
f, MuSCs were from Y(–Ex), O(–Ex) and O(+Ex) mice. Shown is a representative blot and quantification of three blots. Each lane represents a pool of one
to three mice (n = 8 lanes per group). g, MuSCs were from WT(–Ex), HET(–Ex) and HET(+Ex) mice. Shown is a representative blot and quantification of
two blots. Each lane represents MuSCs from one mouse (n = 6 lanes per group). h–k, Mice were treated with TGF-β receptor 1 inhibitor (LY, LY364947) or
vehicle (Veh, DMSO) via i.p. injection daily for 5 d. h, On the sixth day, FACS-isolated MuSCs were cultured and then fixed to analyse cell enlargement by
staining for α-tubulin and quantification of cell area (n = 3 for O(DMSO), 3 for O(LY364947) and 1 for Y(DMSO) mice). i–k, On the sixth day, MuSCs were
isolated and cultured continuously with EdU to assess S-phase progression. i, n = 6 for O(DMSO), 5 for O(LY364947), and 2 for Y(DMSO) mice. j, n = 5
for HET(DMSO), 6 for HET(LY364947) and 6 for WT(DMSO) mice. k, n = 5 for KO(DMSO), 8 for KO(LY364947) and 4 for WT(DMSO) mice. l, MuSCs
isolated from old(WT) mice were treated with LY or Veh for 12 h. During the treatment, MuSCs were held in TubA to maintain quiescence. MuSCs were
then activated in the presence of EdU for 2 d by removing TubA (n = 9 mice per group). ES, running enrichment score. Data are summarized with mean +
s.e.m. *P < 0.05; one-tailed unpaired t-test in f–g and l; two-tailed Welch’s t-test in h–k.
and young(KO) MuSCs. Indeed, Cyclin D1 deficiency caused the did not mimic ageing included apical surface polarity and epithe-
young MuSC transcriptome to resemble that of old MuSCs. GSEA lial–mesenchymal transition gene sets.
showed that Cyclin D1 deletion resulted in the upregulation of some Because Cyclin D1 is present in non-cycling MuSCs, and because
of the gene sets also upregulated with ageing, such as TGF-β, IFN-α Cyclin D1-K112E induction restored old MuSC activation, we
and IFN-γ and NF-κB/inflammatory gene sets, and, as with ageing, sought to identify potential non-canonical functions of Cyclin D1
the downregulation of cell-cycle-promoting gene sets (Extended in quiescent MuSCs. In terms of non-canonical roles beyond pocket
Data Fig. 7). Gene sets changed in Cyclin-D1-deficient MuSCs that protein (pRb, p107 and p130) inactivation, Cyclin D1 is known for
Methods destination vector, which contains a PGK promoter and a C-terminal V5 tag.
Animals. Animal procedures were approved by the Administrative Panel on Final constructs were sequenced to confirm the absence of mutations. Ccnd1-V5
Laboratory Animal Care of the VA Palo Alto Health Care System. Young C57BL/6J or GFP-V5 lentiviruses were produced in HEK 293T cells by co-transfecting the
mice (strain 000664) and R26RYFP mice on the C57BL/6J background (strain pLEX_306 vector with psPAX2 packaging and pMD2.G envelope plasmids (ratio
006148) were purchased from The Jackson Laboratory. NOD-SCID mice were 3:2:1). Viral supernatants at 48 and 72 h were combined, filtered through 0.45-
purchased from Taconic Biosciences. Old C57BL/6N mice were obtained from µm polyvinylidene difluoride (PVDF) and concentrated with the PEG-it Virus
Charles River Laboratories through the National Institute on Aging. Pax7CreER Precipitation Solution (System Biosciences). FACS-isolated MuSCs were plated at a
mice on the C57BL/6 × 129/SvJ background were kindly provided by C. Keller density of 40,000 cells per cm2 in Ham’s F-10 medium containing 10% horse serum,
(Oregon Health & Science University). Ccnd1flox mice on the C57BL/6J × 129/ 100 U mL–1 penicillin, 100 μg mL–1 streptomycin and 40 µM tubastatin A (TubA,
Sv background were kindly provided by P. Sicinski (Dana-Farber Cancer Cayman 10559). TubA is a derivative of tubacin, the histone deacetylase (HDAC)
Institute). TRE-Ccnd1WT and TRE-Ccnd1K112E mice on the FVB background were inhibitor47. One hour after plating, cells were infected by addition of equal volumes
kindly provided by R. Pestell (Thomas Jefferson University). Pax7rtTA mice were of viral concentrates and polybrene (10 µg mL–1), underwent spinoculation (2,550g
generated by genOway on the C57BL/6J background (details below in ‘Cyclin D1 for 1 h) and then were washed twice with TubA-containing medium. Subsequently,
overexpression in MuSCs in vivo’). Mice were housed in specific-pathogen-free TubA-containing medium was replaced daily. Seventy-two hours after infection,
conditions in barrier-protected rooms under a 12-h light–dark cycle and were MuSCs were released from TubA by washing four times and were then cultured
fed ad libitum. All mice used for analysis were male. Young-adult mice, Pax7CreER in Ham’s F-10 medium containing 10% horse serum, 100 U mL–1 penicillin, and
mice and Ccnd1flox mice were 3-4 months old, R26RYFP mice were either 4 or 20–22 100 μg mL–1 streptomycin, with the addition of 10 µM EdU for S-phase-entry
months old, NOD-SCID mice were 4–5 months old and old mice were 18–22 assays. To assess S-phase entry, cells were then fixed after a further 48 h. To assess
months old. When possible, littermate controls were used. infection efficiency, cells were fixed immediately at the end of the 72 h and stained
with antibodies against V5 (11.2 µg mL–1, Thermo Fisher R960-25). To assess
Exercise. Mice were housed individually for 3 weeks in polycarbonate cages overexpression levels, cells were lysed immediately at the end of the 72 h for the
with 12.7-cm-diameter wheels equipped with optical rotation sensors (Lafayette indicated assays.
Instrument, 80820). For non-exercised control mice housed with locked wheels,
rubber brakes or cable ties were used to immobilize the wheels. Cyclin D1 deletion in MuSCs in vivo. Mice with floxed alleles of Ccnd1 that
generate null recombination alleles have been described previously30. Pax7CreER
Muscle injury. Mice were anaesthetized with isoflurane. For regeneration mice containing IRES followed by CreER knocked in to the 3′ untranslated region
assays, each TA muscle received 30 µL 1.2% barium chloride (Sigma) distributed (UTR) of Pax7 have been described previously13. R26RYFP mice containing a
over 10 intramuscular punctures. For MuSC isolation, each lower hindlimb transcription termination sequence flanked by loxP sites (loxP-stop-loxP) before
(TA and gastrocnemius muscles) received 50 µL barium chloride distributed EYFP in the Rosa26 locus have been described previously48. Lines were maintained
over 30 intramuscular punctures. Mice then received routine post-operative as Pax7CreER/CreER;Ccnd1flox/flox, Pax7CreER/CreER;Ccnd1+/+, R26RYFP/YFP;Ccnd1flox/flox and
buprenorphine analgesia and enrofloxacin antibiotic care. R26RYFP/YFP;Ccnd1+/+ mice. Experimental animals (Pax7CreER/+;R26RYFP/+;Ccnd1+/+,
Pax7CreER/+;R26RYFP/+;Ccnd1flox/+ and Pax7CreER/+;R26RYFP/+;Ccnd1flox/flox) were
MuSC isolation. MuSC isolation by FACS was performed as previously generated by intercrossing appropriate lines and then confirming genotype by tail-
described45,46 using surface-antigen-based isolation (Extended Data Fig. 2e) and tip PCR. Tamoxifen (Sigma) was administered to all animals at the ages indicated
YFP-based isolation (Extended Data Fig. 6a), with the inclusion of DAPI (0.5 µg via i.p. injection at 80 mg per kg (body weight) in 100% corn oil daily for 7 d.
mL–1) as a viability stain. Briefly, hindlimb and triceps muscles were collected, MuSCs were isolated on the basis of YFP expression via FACS, as described above.
thinly chopped with scissors and digested using Collagenase II and Dispase
(Thermo Fisher). MuSCs were then dissociated from the myofibers with a 20-G Cyclin D1 overexpression in MuSCs in vivo. TRE-Ccnd1WT and TRE-Ccnd1K112E
needle, and the resulting cellular suspension was filtered using 40-µm cell strainers. mice transgenic for human Ccnd1 with or without the K112E mutation under
Sorters used for the final isolation of a pure MuSC population were Aria II and TRE regulation have been published previously31,32. Pax7rtTA mice contain rtTA-M2
Aria III machines (BD Biosciences). YFP-based isolation was used in the transplant followed by an IRES, mouse Pax7 and a polyadenylation tail knocked in to the
experiments and for all samples with the (WT), (HET) or (KO) descriptor; first exon of the Pax7 locus. Both lines were maintained by breeding heterozygous
otherwise, MuSC isolations were done by immunophenotype-based sorting animals to wild-type animals. Experimental animals (Pax7rtTA/+, Pax7rtTA/+;TRE-
(CD31−CD45+Sca1–VCAM+). Purity was routinely assessed by plating an aliquot Ccnd1WT and Pax7rtTA/+;TRE-Ccnd1K112E) were generated by intercrossing the two
of cells and fixing them 1 h later with 4% formaldehyde. These samples were then lines and ageing the appropriate genotypes until use. All transgenic animals were
stained with antibodies to detect Pax7 (1:50, DSHB AB_528428) and, for YFP- treated for 7 d with doxycycline by providing doxycycline hyclate chow (Envigo,
based sorts, antibodies to detect YFP (10 μg mL–1, Abcam ab13970). TD.120769), delivering a daily dose of 2–3 mg doxycycline based on consumption
of 4–5 g each day. On the sixth and seventh days, doxycycline hyclate (Thermo
MuSC transplantation. At three months of age, Pax7CreER;R26RYFP mice received Fisher) was injected i.p. at 50 mg per kg (body weight) in 0.9% NaCl. MuSCs
tamoxifen (80 mg per kg (body weight) in 100% corn oil via i.p. injection daily for were isolated on the eighth day on the basis of immunophenotype via FACS as
7 d) to label MuSCs with YFP. Mice were then aged until their use as MuSC donors. described above.
Host TA muscles of young NOD-SCID mice were injured 1 d before they received
transplants. Each muscle was transplanted with 10,000 freshly isolated YFP- Serum transfers. Serum was isolated from mice via post-mortem cardiac
positive MuSCs. Each transplant was performed in a volume of 20 µL over a single puncture and stored at −80 °C until use. Recipient mice were all old(–Ex) animals
injection track using a Hamilton syringe (Gastight 1800 series), injecting at 0.1 µL and were injected via tail vein with 0.3 mL serum daily for 3 d before analysis on
second–1. Ten days after transplantation, TA muscles were collected for analysis. the fourth day.
MuSC culture. Unless otherwise indicated, MuSCs were cultured at 21,000 cells TGF-β receptor 1 inhibition. LY364947 (Cayman) was dissolved in PBS
per cm2 in Ham’s F-10 medium containing 10% horse serum, 100 U mL–1 penicillin containing 2% DMSO and administered via i.p. injection daily for 5 consecutive
and 100 μg mL–1 streptomycin. MuSCs were plated on glass chamber slides coated days at 0.2 mg per kg (body weight). For vehicle control mice, injections consisted
with poly-d-lysine (0.1 mg mL–1, EMD Millipore) and ECM (25 µg mL–1, Sigma) of PBS containing 2% DMSO. Analyses were conducted on the sixth day. For ex
for assays involving immunofluorescence or on plastic tissue-culture plates coated vivo experiments, MuSCs isolated from old WT mice were treated with TGF-β
with ECM for assays involving time-lapse microscopy, cell volume measurements, receptor 1 inhibitor (LY364947 at 3.7 nM) or vehicle (Veh, DMSO) for 12 h.
RNA content measurements or western blot analysis. During the treatment, MuSCs were held in TubA to maintain quiescence. MuSCs
were then activated in the presence of EdU for 2 d by removing TubA.
Cyclin D1 knockdown in culture. FACS-isolated MuSCs were plated at 40,000
cells per cm2 in Ham’s F-10 medium containing 10% foetal bovine serum for TA muscle histology. To test for MuSC regenerative ability in transplantation
immediate reverse transfection using Lipofectamine 2000 (Thermo Fisher) assays, muscles were fixed with 0.5% formaldehyde for several hours, cryoprotected
and Ccnd1-targeting or non-targeting SMARTpool ON-TARGETplus siRNAs with 20% sucrose and frozen. Transverse 7-µm sections were generated and
(Dharmacon) at 50 nM. After 4 h, medium was changed to Ham’s F-10 medium stained for laminin using a rat anti-laminin α1 antibody (1:1,000, EMD Millipore
containing 10% horse serum, 100 U mL–1 penicillin and 100 μg mL–1 streptomycin, MAB1903) and for YFP using a rabbit anti-GFP antibody (10 µg mL–1, Thermo
with the addition of 10 µM EdU for S-phase-entry assays. Fisher A11122). DAPI was used to visualize nuclei. For each muscle, ten sections,
collected at evenly spaced intervals along the rostro-caudal axis of the muscle, were
Cyclin D1 overexpression in culture. Ccnd1 human complementary DNA in analysed in a blinded fashion for YFP-positive fibre area and number in Volocity
the pDONR221 backbone was obtained from the Harvard PlasmID repository software (PerkinElmer).
(HsCD00040407). EGFP cDNA in the pDONR221 backbone was obtained To test for MuSC quiescence after exercise, muscles were fresh-frozen in liquid-
through Addgene as a gift from D. Root (Addgene plasmid no. 25899), as was nitrogen-cooled isopentane. Transverse 10-µm sections were generated, fixed with
pLEX_306 (Addgene plasmid no. 41391). Using the Gateway recombination- 2% formaldehyde and stained for laminin using a rat anti-laminin α2 antibody
based cloning system (Thermo Fisher), each cDNA was cloned into the pLEX_306 (1.5 µg mL–1, Abcam ab11576). After heat-induced epitope retrieval (HIER) as
Extended Data Fig. 2 | Exercise improves multiple aspects of old MuSC regenerative ability. a–d, Exercise and muscle injury were performed as in Fig.
1a. After either four days (a), five days (b) or twenty-eight days (c-d), muscles were isolated and stained to examine regeneration. a-b, Muscles were
sectioned and assayed for eMHC+ myofibers (a, n=7 for Y(-Ex), 5 for Y(+Ex), 7 for O(-Ex), and 4 for O(+Ex) mice. b, n=4 for Y(-Ex), 7 for O(-Ex), and 8
for O(+Ex) mice. Y(+Ex) at five days was not done (N.D.)). c-d, Twenty-eight days post-injury (dpi), the mean cross-sectional areas (CSA) of myofibers
(c) and the number of Pax7-expressing cells (d) were quantified (n=3 mice per group). e, Gating strategy for FACS isolation of MuSCs, following a
published protocol45,46. Purity of isolated MuSCs is >98% as assessed by routine staining for Pax7 of cells fixed one hour after plating. f, FACS-isolated
MuSCs were cultured for eighteen hours and then analyzed for RNA content by flow cytometry based on Pyronin Y staining (n=6 mice per group).
g, FACS-isolated MuSCs were tracked by time-lapse microscopy to determine time to first division (n=7 for O(-Ex), 7 for O(+Ex), and 5 for Y(-Ex) mice).
h, FACS-isolated MuSCs were tracked by time-lapse microscopy to determine the distance migrated by each cell between serial images (n=7 for O(-
Ex), 7 for O(+Ex), and 5 for Y(-Ex) mice). i, FACS-isolated MuSCs were cultured for one day and then stained with 7AAD to determine viability by flow
cytometry. Shown is the gating strategy for analysis and the quantification of the fraction of dead cells (n=3 mice per condition). Scale bar in e, 50 μm.
Data are summarized with mean + s.e.m. *P<0.05; one-tailed Welch’s t-test in a-d, f-i.
Extended Data Fig. 3 | The exercise-induced improvement in old MuSC activation gradually subsides after exercise cessation. a, Mice were given
no access or free access to a running wheel, followed by wheel removal for zero, one, or two weeks. The onset of exercise was staggered so that MuSC
isolation was performed at the same time for all groups. b, FACS-isolated MuSCs were cultured continuously in EdU to assess S-phase progression (n=8
for O(-Ex), 7 for O(+Ex)(0 wk), 8 for O(+Ex)(1 wk), and 3 for O(+Ex)(2 wk) mice). Data are summarized with mean + s.e.m. *P<0.05; two-tailed Welch’s
t-test in b.
Extended Data Fig. 4 | The exercise-induced improvement in old MuSC activation is transferable through serum. a, Old recipient mice that had never
exercised received three consecutive daily tail-vein injections with serum collected from old non-exercising or exercising mice. MuSCs were isolated from
recipient mice one day after the last injection. b, FACS-isolated MuSCs were cultured continuously in EdU to assess S-phase progression (n=8 recipient
mice for O(-Ex), comprising 4, 3, and 1 recipients for three different serum pools, and n=6 recipient mice for O(+Ex), comprising 3, 2, and 1 recipients for
three different serum pools). Data are summarized with mean + s.e.m. *P<0.05; two-tailed Mann-Whitney U-test in b.
Extended Data Fig. 6 | Characterization of Cyclin D1 reduction and expression in MuSCs. a, Gating strategy for FACS isolation of YFP+ MuSCs after
tamoxifen administration to transgenic mice. Shown are MuSC yields in terms of the percentage of size- and doublet-gated cells that are YFP+DAPI-;
NS, WT vs. HET and WT vs. KO (n values represent individual mice). Purity of isolated MuSCs is >94% or >98% as assessed by routine staining and
quantification of YFP or Pax7, respectively, of cells fixed one hour after plating. b, TA muscles were isolated from twelve-month-old mice that had received
tamoxifen injections at three months of age. Muscle sections were stained for Pax7 to identify MuSCs, YFP to identify recombined cells, and laminin to
delimit muscle fibers and MuSCs from the interstitium. No MuSCs or YFP+ cells were identified in the interstitium, and no YFP+ cells were Pax7-. The MuSC
pool was quantified by counting Pax7+ cells in sections (n=3 mice per group). c, FACS-isolated MuSCs were cultured continuously in the presence of EdU
to assess S-phase progression (n=4 for HET(-Ex), 6 for HET(+Ex), 5 for KO(-Ex), 5 for KO(+Ex), and 6 for WT(-Ex) mice). d, To confirm maintenance
of ex vivo quiescence by TubA, MuSCs were kept in culture for three days either in quiescence (with TubA) or during activation (with DMSO vehicle) in
the continuous presence of EdU and then fixed for analysis. MuSCs were then released for two days in the presence of EdU by removing TubA. MuSCs
were then fixed for analysis of exit from quiescence (n=3 mice per condition). e, MuSCs were infected as in Fig. 3j for three days and then harvested for
Western blot. Each lane represents a pool of three to six mice split into the two infection conditions. f, MuSCs infected as in Fig. 3j were harvested for RT-
qPCR analysis (n=3 mice per group). Scale bar in a, 50 μm, in b, 10 μm. Data are summarized with mean + s.e.m. NS, not significant; *P<0.05; two-tailed
Welch’s t-test in a-c, one-tailed Welch’s t-test in d, one-tailed ratio-paired t-test in f.
Extended Data Fig. 7 | Gene sets altered by Cyclin D1 reduction and by aging in MuSCs. a, GSEA results for the Hallmark gene sets in comparisons of
RNA-Seq profiles for Y(HET) vs. Y(WT), Y(KO) vs. Y(WT), and O(WT) vs. Y(WT) MuSCs. Gene sets are in ascending order based on the mean NES.
b, Enrichment plots for gene sets representing cell cycle genes (E2F TARGETS) and inflammation genes (INFLAMMATORY RESPONSE). NES, normalized
enrichment score in a, b; ES, running enrichment score; S2N, GSEA Signal2Noise ranking metric in b.
Extended Data Fig. 9 | TGFβ-Smad3 activity in MuSCs with aging, Cyclin D1 deficiency, and pharmacologic modulation. a-c, Western blots on freshly
isolated MuSCs to assess for activating C-terminal phosphorylation of Smad3. Each lane’s phospho-Smad3 level was normalized first to Histone 3 and
then to the grand mean of each blot; blots quantified in each figure contained equals numbers of each replicate type. a, MuSCs were from Y(Veh), O(Veh),
and O(LY) mice. Shown is a representative blot and quantification of two blots. Each lane represents MuSCs from one mouse (n=6 lanes per group).
b, MuSCs were from WT(Veh), HET(Veh), and HET(LY) mice. Shown is a representative blot and quantification of two blots. Each lane represents MuSCs
from one mouse (n=6 lanes per group). c, MuSCs were from WT(Veh), KO(Veh), and KO(LY) mice. Shown is a representative blot and quantification of
two blots. Each lane represents MuSCs from one mouse (n=6 lanes per group). *P<0.05; one-tailed Mann-Whitney U-test in a-c.
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